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Home My WebLink About2004-P08261 - sewer/water connect PERMIT CITY OF�`ORONO Permit Number: 2750 Kellet Parkway - PO Box 66 Pog26i Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit (952) 249-4600 Date Issued: i2�6�2004 SITE ADDRESS: 721 Sandstone Cir L,ong I.ake,MN 55356 PID: 33-118-23-11-0048 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: SAC Paid#P08159- 11/18/04 FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 70.50 APPLICANT: �'�'estonka Water&Sewer OWNER: 7ohn Terrance Homes,LLC 6501 County Rd 15 8266 Xene Lane Mound,MN 55364 Maple Grove,MN 553ll THE UNDERSIGPJED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BU[LDING CODE REQUIREMENTS. � � � �-- �� APPLICANT PERM[TEE SIGNATURE ISS D BY SIGNATURE Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 (Updated 1/5/04) CITY OF OROlR�fl APPLICATION FOR UTILITY PERMITS Box 66 (2750 Kelley Parkway) SEWER/WATER & SAC . Crystal Bay, MN 55323 � `b� � ��\� ��` GENERAL INFORMATION � � � 1. You may apply for utility pernuts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pei7nit cards will be sent by return mail the same day the a�plication is received. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the peniut card is available on the job site. 5. Utility comlection pernuts may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stuU as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works Deparhnent. Issuance of a pemut does not grant this approval. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call(952)249-4600,24 hour notice required. JOB SITE ADDRESS: � � ��°"��5�� i✓�� Occupancy Type: _��Residential Commercial Owner's Name: �- t�/�l'�;,�cr� ��`��'S Phone Number: Maili��g Address: City: Zip: Contractor's Name: v�i c�/ Pho►ie Numbe . �_,��7� - y�S� Mailing Address: �'� City: ✓1�� Zip: S'�3d PERMIT TYPE oimections ❑Repairs ❑Disconnect (Check One) SAC Cl�arge (2003 rate $1,350.00) $ (Set Rate) Sac Ch.arge must accornpany all sewer pennit applications unless prepaid. (If not prepaid, a sewer connection will not be issued) Municipal Sewer Connection/Disconnect/Repair (�35.00 per stub) $ pipe size�inches; material�Schd 40 air tested; cast iron Muriicipal Water C nnection/Disconnect/R air ($35.00 per stub) $ pipe size�inches; material opper; otl�er —�� WATER METERS must be picked up and paid for at City Ha1L Water meters must be set and sealed by Orono Water Department (952-249-4600) upon completion of ineter installation. REQUIRED minimuin setbacks froin drain field and septic tanks= 75' REQUIRED setback from sewer line =20' PERMIT FEE CALCULATION 1. Subtotal of above pennit requested $ 2. State Surchar�e $ .50 (Minimuin) The State Building Code Division Surcharge of$.50 per pernut must be included for each well,sewer and water connection pernut requested. 3. Posta�e &Handling (Only mail-in applications) $ 1.50 (Mail In Only) 4. TOTAL PERMIT FEE (add lines 1-3 above) $ The undersigned hereby applies to the City of Orono for issuance Utility Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of e St te of Minnesota, and certifies that all statements made on this application are complete, true and correct.. � Signature of Applicant: � Date: � � � � DATE TIME CITY OF ORONO CALLED IN ;a-�3-oy INSPECTION NO�TyICE/�- SCHEDULED sZ- S- �T:af��-�'J PERMIT NO.PO6�Co/ COMPLETED 1 �0 ADDRESS �_�� SGt,�'l.�S'��i2 �fr'. OWNER CONTR._(�c�-2S"�b��C�•- TELEPHONE N0. �5 � �� L��o � � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL WER HOOK- 06 PROGRESS � 07 DEMO-SITE 27 AINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � a � � °p�� ,.re�cr \.�r-t o — Se\ �t� Se�--�� \,�.sL � � 0 � W � Q � z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE � W ❑CORRECT WORK 8 PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit Inspector. �'� White Copyllnspector's File Canary CopylSite Notice